Allie Ray Black, COTA
NPI 1639690977ActiveIndividual· Occupational Therapy Assistant· De Queen, AR
Occupational Therapy Assistant (COTA) in De Queen, Arkansas, licensed in AR, with an NPI issued in June 2017.
Overview
| NPI | 1639690977 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COTA |
| Sole proprietor | Yes |
| NPI issued | Jun 27, 2017 |
| Last updated in NPPES | Jun 26, 2024 |
| Certified by provider | Jun 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OT-A1220 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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